MR. CHARLES RAY JENKINS ACNP NPI 1730475401

NPI Information

  • NPI: 1730475401
  • Provider Name: MR. CHARLES RAY JENKINS, ACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 36123 SCHOOLCRAFT RD
    LIVONIA, MI
    ZIP 48150
  • Phone: (734) 464-0887

Map and Directions

Get Directions

NPI Details

MR. Charles Ray Jenkins, ACNP is an acute care nurse practitioner in Livonia, MI with 16 years of experience. MR. Charles Ray Jenkins, ACNP NPI is 1730475401. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduation Year:2010

The provider's business location address is:

36123 SCHOOLCRAFT RD
LIVONIA, MI
ZIP 48150-216
Phone: (734) 464-0887
Fax: (734) 402-0254

The NPI 1730475401 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Nursing facility discharge management, more than 30 minutes (HCPCS:99316)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Initial hospital observation care per day, typically 50 minutes (HCPCS:99219)

The enumeration date for this NPI number is 6/21/2011 and was last updated on 1/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerRN.292449OHIONo
2363LA2100XNurse PractitionerAcute CareNP-12217OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.